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Novel Use of a Pneumatic Compression Device for Haemostasis of Haemodialysis Fistula Access Catheterisation Sites

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Abstract

Purpose

Transradial pneumatic compression devices can be used to achieve haemostasis following radial artery puncture. This article describes a novel technique for acquiring haemostasis of arterio-venous haemodialysis fistula access sites without the need for suture placement using one such compression device.

Materials and Methods

A retrospective review of fistulograms with or without angioplasty/thrombectomy in a single institution was performed. 20 procedures performed on 12 patients who underwent percutaneous intervention of failing or thrombosed arterio-venous fistulas (AVF) had 27 puncture sites. Haemostasis was achieved using a pneumatic compression device at all access sites. Procedure details including size of access sheath, heparin administration and complications were recorded.

Results

Two diagnostic fistulograms, 14 fistulograms and angioplasties and four thrombectomies were performed via access sheaths with an average size (±SD) of 6 Fr (±1.12). IV unfractionated heparin was administered in 11 of 20 procedures. Haemostasis was achieved in 26 of 27 access sites following 15–20 min of compression using the pneumatic compression device. One case experienced limited bleeding from an inflow access site that was successfully treated with reinflation of the device for a further 5 min. No other complication was recorded.

Conclusions

Haemostasis of arterio-venous haemodialysis fistula access sites can be safely and effectively achieved using a pneumatic compression device. This is a technically simple, safe and sutureless technique for acquiring haemostasis after AVF intervention.

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Acknowledgments

There is no financial support to declare in regard to this work.

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Authors and Affiliations

  1. Department of Interventional Radiology, Mater Misericordiae University Hospital, Eccles St., Dublin 7, Ireland

    Michael K. O’Reilly, David Ryan, Gavin Sugrue, Tony Geoghegan, Leo P. Lawler & Cormac T. Farrelly

Authors
  1. Michael K. O’Reilly
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  2. David Ryan
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  3. Gavin Sugrue
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  4. Tony Geoghegan
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  5. Leo P. Lawler
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  6. Cormac T. Farrelly
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Corresponding author

Correspondence to Michael K. O’Reilly.

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All authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. (Retrospective study). For this type of study formal consent is not required.

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Informed consent was obtained from all individual participants included in the study.

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O’Reilly, M.K., Ryan, D., Sugrue, G. et al. Novel Use of a Pneumatic Compression Device for Haemostasis of Haemodialysis Fistula Access Catheterisation Sites. Cardiovasc Intervent Radiol 39, 1765–1769 (2016). https://doi.org/10.1007/s00270-016-1428-9

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  • DOI: https://doi.org/10.1007/s00270-016-1428-9

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